| Organization Name: | ELIZABETH WALLACH MA PSYCHOLOGIST |
| NPI Number: | 1588836936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH WALLACH (PSYCHOLOGIST) |
| Mailing Address: | 2809 Old Washington Rd Mcmurray |
| State: | PA US |
| Postal Code: | 15317 |
| Phone Number: | 7244134991 |
| Fax Number: | 7249412595 |
| NPI Enumeration Date: | 03/26/2008 |
| NPI Last Update Date: | 03/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PS6340L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |